Page 29 - Rehab 2020

Case Assignment

After processing a referral for rehab services, the Business Service Coordinator (BSC) will
schedule the rehab Add-On Evaluation visit, as designated by the service codes PT01 for a P.T.
evaluation, OT01 for an O.T. evaluation, and ST01 for a S.T. evaluation. They will contact the field
therapists for case acceptance. Calls or e-mails will be initiated by the BSC or the clinician’s manager.
Therapists are expected to check their e-mail regularly. Therapists are encouraged to call the office
if available for new cases.

BSCs will contact you to place cases throughout the day. They will make it an effort to assign cases
as early in the day as possible or even 1 or 2 days in advance.

Census Tracts

Each region is divided up into geographical health areas called Census Tracts. These areas may be
organized by zip codes or neighborhood divisions. Each therapist covers a designated group of
health areas and may be asked to expand areas due to operational needs (e.g., vacation coverage,
shortage areas, etc.). Your manager will show you your designated areas when you report to regions.
Although you are assigned designated areas, you may be asked to assist in other areas that have
delays or rehab need.

What to Evaluate?

The Add-On Evaluation is the initial evaluation visit for your discipline. The focus of this visit will
be the assessment of:

1. Functional deficits
• Evaluate functional deficits with a focus on how the deficits affect ability to perform
ADL’s in the home and access the community.
2. Environmental safety
• Assess for safety issues like clutter, throw rugs, inadequate lighting, narrow doorways or
elevator that does not work
3. Social support system
• Is the caregiver adequate? What is the caregiver’s name and relationship to the patient?
Are they willing to participate in the plan of care?
• If there is teaching of home program or safety techniques with the caregiver it should
also be documented on that initial visit
4. Need for DME
• Patient’s need for DME based on functional deficits
• Check to see if patient has DME already present in home and if it is in good condition
or adjusted to proper height
5. Need for other disciplines
• Assess the patient’s deficits that may require the skills of another discipline.
6. Discharge plan

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